Facility Evaluation Report

On this day, Licensing Program Analyst (LPA) Andrea Mendivil made an unannounced visit to conduct a required annual visit. LPA was greeted and granted entry by staff and explained the reason for the visit.

The facility is a single story building with an approved fire clearance of six non-ambulatory residents of which one may be bedridden and hospice waiver for three. The facility has 5 residents in care with 1 resident on hospice.

During today’s visit, LPA toured the facility and inspected the physical plant, including but not limited to testing all smoke detectors, testing hot water temperature in bathrooms. The hot water temperature measured at 113.3 degrees Fahrenheit and all smoke detectors were operational. LPA inspected the facility food supply and observed the facility retained a minimum of two days perishable and seven days non-perishable food on hand. Facility conducted the last fire drill on July 1, 2026. LPA observed emergency food and water in locked garage. LPA observed resident's medication securely stored in closet.

LPA reviewed two out of two staff training and fingerprint records. LPA conducted a complete review of resident records. LPA confirmed that administrator has a current administrator certificate which expires on November 20, 2027.

Based on observations made no deficiencies are being cited during today's visit. An exit interview was conducted and a copy of this report was provided.